THIBODAUX REGIONAL MULTI-SPECIALTY CLINIC-RACELAND
NPI 1497348379
Clinic/Center - Multi-Specialty in Raceland, LA
NPI Status: Active since February 11, 2021
Contact Information
4560 HIGHWAY 1 STE 3
RACELAND, LA
ZIP 70394
Phone: (985) 435-4831
Fax: (985) 449-2513
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 19D2248045
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-10-2028
About THIBODAUX REGIONAL MULTI-SPECIALTY CLINIC-RACELAND
This page provides the complete NPI Profile along with additional information for Thibodaux Regional Multi-specialty Clinic-raceland, a provider established in Raceland, Louisiana operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1497348379 assigned on February 2021. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Thibodaux Regional Multi-specialty Clinic-raceland operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Thibodaux Regional Multi-specialty Clinic-raceland. The authorized official of this NPI record is Kim Legendre Boudreaux (Contract Manager)
- NPI
- 1497348379
- Provider Legal Name
- THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
- Other Organization Name
- THIBODAUX REGIONAL MULTI-SPECIALTY CLINIC-RACELAND
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4560 HIGHWAY 1 STE 3 RACELAND, LA 70394
- Location Phone
- (985) 435-4831
- Location Fax
- (985) 449-2513
- Mailing Address
- 602 N ACADIA RD THIBODAUX, LA 70301
- Mailing Phone
- (985) 251-4250
- Mailing Fax
- (985) 449-2513
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-11-2021
- Last Update Date
- 09-05-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RH0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | |
| 7 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 8 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 9 | 208800000X | Allopathic & Osteopathic Physicians | Urology | |
| 10 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
- Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
- Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
- Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
- Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
- Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
- Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
- Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
- Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 19D2248045
- Facility Type
- Physician Office
- Certificate Effective Date
- January 11, 2026
- Certificate Expiration Date
- January 10, 2028
- Laboratory Director
- STEPHANIE HUGHES
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Thibodaux Regional Multi-specialty Clinic-raceland in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1497348379, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497348379, enumerated as an "organization" on February 11, 2021.
The provider is located at 4560 HIGHWAY 1 STE 3 RACELAND, LA 70394 and the phone number is (985) 435-4831.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana and HMO. Please consult your insurance carrier or call the provider to verify.
